Capital Credits Beneficiary or Personal Representative’s Refund Request Form

This form is for beneficiaries who are claiming capital credits that were allocated to a SMECO member who is now deceased.

If you are a SMECO member and you wish to designate a beneficiary for your capital credits, fill out the Beneficiary Designation Form.

Deceased SMECO Member's Information

Deceased Member's Name(Required)
Last Known SMECO Service Address(Required)

Beneficiary

Your Name(Required)
Your Date of Birth (mm/dd/yyyy)(Required)
Your Mailing Address(Required)
Refund options for beneficiary or personal representative(Required)
Max. file size: 400 MB.
Max. file size: 400 MB.
Max. file size: 400 MB.